Stimulation parameters for motor evoked potentials during intraoperative spinal cord monitoring. A systematic review.
Direct-waves (D-waves)
Intraoperative neurophysiological monitoring (IONM)
Muscle recorded transcranial electrical stimulation motor evoked potentials (mTc-MEPs)
Stimulation method
Stimulation parameters
Total intravenous anaesthesia (TIVA)
Journal
Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
ISSN: 1872-8952
Titre abrégé: Clin Neurophysiol
Pays: Netherlands
ID NLM: 100883319
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
received:
03
10
2022
revised:
10
01
2023
accepted:
08
02
2023
medline:
17
4
2023
pubmed:
17
3
2023
entrez:
16
3
2023
Statut:
ppublish
Résumé
The aim of this systematic review was to find the optimal stimulation parameters for muscle recorded transcranial electrical stimulation motor evoked potential (mTc-MEP) and D-wave monitoring during spinal cord monitoring. A PRISMA systematic search in Medline and EMBASE and a QUADAS-2 quality evaluation was performed to identify studies that compared stimulation parameters consisting of stimulation location, number of pulses, pulse duration, interstimulus interval, double train (DTS) or recurrent train stimulation (RTS) and intertrain interval (ITI) for performing mTc-MEP and D-wave monitoring. Only studies that used total intravenous anaesthesia (TIVA) were included. Ten studies that compared stimulation parameters for performing mTc-MEP monitoring (stimulation location n = 4, number of pulses n = 2, pulse duration n = 1, interstimulus interval n = 4, DTS n = 1, RTS n = 2, ITI n = 2) were included. No studies compared stimulation parameters (stimulation location and pulse duration) for performing D-wave monitoring. Few studies examined the optimal stimulation parameters for monitoring mTc-MEPs and no studies were included for D-wave monitoring. There is a need for prospective research to investigate the optimal stimulation parameters for mTc-MEP with the use of TIVA and D-wave monitoring. For mTc-MEP monitoring, a table is provided in which the recommended stimulation parameters are stated.
Identifiants
pubmed: 36924672
pii: S1388-2457(23)00217-1
doi: 10.1016/j.clinph.2023.02.170
pii:
doi:
Types de publication
Systematic Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
70-80Informations de copyright
Copyright © 2023 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest ARA reports receipt of unrestricted research funding and/or reimbursement for consultancy for The Medicines Company, Janssen Pharma, Carefusion/BD, Orion Pharma, Ever Pharma, Terumo, PAION and Philips (all for work unrelated to the current study; all payments to institution). The other authors report no conflicts of interest.